Endovascular treatment of an inferior pancreaticoduodenal artery aneurysm

Abstract

Inferior pancreaticoduodenal artery (IPDA) aneurysm is uncommon. The incidence is about 2% of all visceral arterial aneurysms. The causes are multiples but usually associated with celiac axis stenosis or occlusion. There are mainly asymptomatic and often detected incidentally, but in 30% of cases, symptoms are present. The mortality rate after rupture remains high (40%–60%). Diagnose of an inferior pancreaticoduodenal artery aneurysm associated with celiac axis stenosis or occlusion can be difficult and requires a selective angiography or a multislice computed tomography scan reconstruction. We described the case of an asymptomatic inferior pancreaticoduodenal artery aneurysm associated with a celiac axis stenosis treated by endovascular approach (coils and stent).

Keywords

• Celiac axis stenosis
• embolization
• endovascular
• inferior pancreaticoduodenal artery